Active NPI
Mark C Segel, M.D.
- Diagnostic Radiology Physician
- Clinton Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301050063
- Practice address
- 36175 Harper Ave
Clinton Township, MI 48035-3274 - Phone
- (586) 741-3772
- Fax
- (586) 741-4604
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301050063 | MI | Primary |
Addresses
Primary practice location
36175 Harper Ave
Clinton Township, MI 48035-3274
Mailing address
36175 Harper Ave
Clinton Township, MI 48035-3274
Phone (586) 741-3772
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139218 | Other | MI | GREAT LAKES HEALTH |
| 4462255 | Medicaid | MI | |
| 1006439 | Other | MI | MCLAREN HEALTH |
| 0H26188 | Other | MI | BCBS PROVIDER NUMBER |
| 0Q26008 | Other | MI | BCBS PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Texas Southwestern Medical School at Dallas, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17700 23 Mile Rd
Macomb, MI 48044-1154
Phone (586) 416-7530
22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-3248
4100 River Rd
East China, MI 48054-2909
Phone (810) 329-7111
Hospital & facility affiliations
- Henry Ford Health St John Hospital
- Ascension River District Hospital
- Henry Ford Health Warren Hospital
- Beaumont Hospital, Troy
- Henry Ford Macomb Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastpointe Radiologists, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Eastpointe Radiologists, PC | Diagnostic Radiology | Current | Accepting new patients |
Locations
51307 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 741-3772
36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000
43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234
36175 Harper Ave
Clinton Twp, MI 48035
Phone (586) 741-3772
22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248
4100 S River Rd
East China, MI 48054
Phone (810) 329-6677
17141 Kercheval Ave
Grosse Pointe, MI 48230
Phone (313) 642-4980
21003 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (313) 881-0411
46591 Romeo Plank Rd
Ste 220
Macomb, MI 48044
Phone (586) 226-6170
46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269
17700 23 Mile Rd
Macomb, MI 48044
Phone (586) 416-7500
27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000
13350 24 Mile Rd
Ste 200
Shelby Township, MI 48315
Phone (586) 566-7100
21000 E 12 Mile Rd
St Clr Shores, MI 48081
Phone (586) 447-5000
11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000
64580 Van Dyke Rd
Ste C
Washington Township, MI 48095
Phone (586) 752-9483
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Grosse Pointe Physicians Xray Center, PC
- Diagnostic Radiology Physician
- Grosse Pointe Woods, MI
- NPI 1558409649
-
dba Grosse Pointe Physicians Xray Center, PC
- Diagnostic Radiology Physician
- Detroit, MI
- NPI 1881642056
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. John Macomb Oakland Hospital-Warren Campus
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
dba St John Macomb Oakland - Oakland Center
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
-
- General Acute Care Hospital
- East China, MI
- NPI 1619941333
-
dba Henry Ford Health Macomb Hospital
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- General Acute Care Hospital
- Warren, MI
- NPI 1902842735
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba St John Hospital and Medical Center
- General Acute Care Hospital
- Chicago, IL
- NPI 1023088168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208649600000",
"number": "1215916382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36175 HARPER AVE",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480353274",
"telephone_number": "586-741-3772",
"fax_number": "586-741-4604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36175 HARPER AVE",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480353274",
"telephone_number": "586-741-3772",
"fax_number": "586-741-4604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGEL",
"first_name": "MARK",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2008-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301050063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HEALTH",
"identifier": "139218",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4462255",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MCLAREN HEALTH",
"identifier": "1006439",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "0H26188",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "0Q26008",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.